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Nursing Home Staffing Campaign

Program Information

Popular name

NHSC

Program Number

93.693

Program objective

The Centers for Medicare & Medicaid Services (CMS) is committed to improving safety and quality of care in the Nation’s Nursing Homes. Nursing home staffing has been known as a critical factor for improving care for nursing home residents for many years. However, there have been challenges with nursing homes’ ability to obtain enough nursing staff to meet each resident’s needs. The Nursing Home Staffing (NHS) Campaign project is aimed at increasing the availability of nurses (e.g., registered nurses (RNs) to work in the nursing home environment, such as in qualifying nursing homes or in an oversight capacity for a state inspection agency. Through this project, CMS will award multiple cooperative agreements to entities to who will in turn, administer financial incentives, such as tuition reimbursement and stipends to RNs who will then work in a qualifying nursing home or state survey agency for three years.

Program expenditures, by FY (2023 - 2025)

This chart shows obligations for the program by fiscal year. All data for this chart was provided by the administering agency and sourced from SAM.gov, USASpending.gov, and Treasury.gov.

For more information on each of these data sources, please see the About the data page.

Additional program information

  1. 2025

    FY 2025: $20,000,000 FY 2026: $20,000,000 (pending) FY 2027: $20,000,000 (pending) FY 2028: $10,000,000 (pending) FY 2029: $10,000,000 (pending)

Single Audit Applies (2 CFR Part 200 Subpart F):

For additional information on single audit requirements for this program, review the current Compliance Supplement.

OMB is working with the U.S. Government Accountability Office (GAO) and agency offices of inspectors general to include links to relevant oversight reports. This section will be updated once this information is made available.

This program was announced via CMS Press Release on 4/22/2024. See section at the bottom of this webpage: https://www.cms.gov/newsroom/fact-sheets/medicare-and-medicaid-programs-minimum-staffing-standards-long-term-care-facilities-and-medicaid-0

  1. Social Security Act (SSA), Title 18 and Title 19, 1819(h)(2)(B)(ii)(IV)(ff) and 1919(h)(2)(B)(ii)(IV)(ff), This program is being funded through civil money penalties (CMPs) that are imposed on nursing homes for noncompliance, and collected by CMS. Per the section of the SSA referenced above, “such amounts collected may be used to support activities that benefit residents.” We note that the authorization to use CMP funds in this manner was also codified in regulation under 42 CFR 488.433.

Program details

Program types

Eligible applicants

Eligible beneficiaries

  • Public nonprofit institution/organization
  • State

Additional resources